JP5681579B2 - Implant order manufacturing system - Google Patents

Description

The present invention also relates to implant order production system to manage orders production of the implants for orthopedic attached to the body of the patient.

  Conventionally, replacement surgery is known in which knee joints, hip joints, and the like are replaced with metal or ceramic artificial joints. In addition, a surgical operation for attaching and fixing a spine cage or an artificial vertebral body for fixing, correcting, and stabilizing the spine is also known.

  When mounting and fixing an orthopedic implant in place in the body, it is important to place the patient with the optimal shape and dimensions at the optimal angle. That is, it is necessary to accurately identify the bone shape, bone density, soft tissue state, and the like of the attachment site of the patient's implant, and to specify an implant having an optimal shape and size for the attachment site. Therefore, in recent years, in the preoperative plan of surgery, instead of using a two-dimensional image of the attachment site of the patient's implant, a three-dimensional image of the attachment site is used. In addition, a method is known in which the amount of osteotomy and the position of osteotomy are specified by simulation as necessary (see, for example, Patent Document 1).

JP 2009-82444 A

By the way, the optimum shape and size of the implant differs for each patient. However, in order to respond to an order for an implant having a predetermined shape and size to be used for surgery from the hospital side, an implant distributor has a plurality of implants in advance. It is necessary to keep the shape and size of the implant in stock. In addition, at the present time, in addition to implants of a predetermined size used for surgery in addition to orders from the hospital side, implants of dimensions before and after the same are shipped in advance, and similarly, implants of multiple sizes are in stock in advance. Must be secured as. For this reason, it is necessary for an implant distributor to prepare an implant having a shape and size that is not actually used for surgery, resulting in a decrease in sales efficiency.
In addition, even in the hospital side, in addition to implants of a predetermined shape and size used for surgery, implants unnecessary for surgery of other shapes and dimensions are also sent from the dealer. However, there is a problem that the number of implants that must be stored until they are used in surgery increases, and a larger storage space must be secured. Furthermore, since all implants, including those that are not used in surgery, must be sterilized, the number of sterilization points increases, and the cost increases as the number of workers (such as nurses) involved in the sterilization work increases. Resulting in.

In addition, although the shape of the attachment site | part of a patient's implant can be almost accurately grasped | ascertained by using the three-dimensional image of the attachment site | part of an implant in the preoperative plan of a surgery like the said patent document 1. Depending on the physical characteristics of the patient, an implant having an optimal shape and size may not be prepared at the attachment site.
In other words, for patients, it is preferable to individually prepare and prepare implants having optimal shapes and sizes for the implant attachment site. However, in the current Japanese legal system, it is time-consuming and expensive. However, feasibility is poor. On the other hand, in the preoperative plan of surgery, an implant having a shape and size that can be mounted with the highest accuracy is identified by simulation from among a plurality of implants having a predetermined shape and size. However, the implants that can be identified by the preoperative plan do not take into account physical characteristics such as race, age, and gender of the Japanese people. For this reason, there is a case where what is specified as an implant having an optimal shape and size cannot actually be used for surgery, and in addition to the implant, an implant having dimensions before and after that must be shipped.
In other words, even if the shape of the patient's implant attachment site can be almost accurately grasped by simulation using a three-dimensional image, the implant seller still keeps multiple shapes and sizes of implants in stock in advance. There is a problem that the number of stored implants and the number of sterilization points increase even at the hospital.

An object of the present invention, it is possible to efficiently sale of the implant, is to provide an implant orders production system that can improve the efficiency of storage and sterilizing the implant in the hospital.

In order to solve the above-mentioned problem, the invention described in claim 1
A hospital terminal installed in at least one hospital; a manufacturer terminal used by a manufacturer of a predetermined type of implant; an implant manufacturing device used by the manufacturer and associated with the manufacturer terminal; An implant order manufacturing system comprising a management terminal connected to a hospital terminal and the manufacturer terminal via an external network and managing the order manufacturing of implants used in the hospital,
The hospital terminal
A plurality of implant shapes related to a three-dimensional shape of a plurality of implants having at least one of shapes and dimensions that are designed based on a physical feature of a person including at least one of race, age, and gender in advance Based on the data and the bone shape data relating to the three-dimensional shape of a predetermined part to which the bone implant of the patient is attached, the surgical support device connected to the hospital terminal via the internal network, from among the plurality of implants Order information transmitting means for transmitting order information of an implant scheduled to be attached to the specified site of the identified patient to the management server via the external network;
The management server
Order information receiving means for receiving the order information transmitted from the order information transmitting means;
Based on the reception of the order information by the order information receiving means, manufacturing instruction generating means for generating manufacturing instruction information of an implant scheduled to be attached to the predetermined part of the patient;
Manufacturing instruction transmitting means for transmitting the manufacturing instruction information generated by the manufacturing instruction generating means to the manufacturer terminal via the external network, and
The manufacturer terminal is
Manufacturing instruction receiving means for receiving the manufacturing instruction information transmitted from the manufacturing instruction transmitting means;
According to the manufacturing instruction information received by the manufacturing instruction receiving means, the data stored in the storage means is used by the implant manufacturing apparatus comprising storage means for storing data substantially equivalent to the implant shape data. Completion information transmitting means for transmitting the manufacturing completion information of the implant to the management server via the external network after the implant having the shape and size according to the manufacturing instruction information is manufactured,
The management server further includes:
Completion information receiving means for receiving the manufacturing completion information transmitted from the completion information transmitting means;
A billing information generating means for generating billing information of the price of the implant manufactured by the implant manufacturing device after the manufacturing completion information is received by the completion information receiving means;
And further comprising billing information transmitting means for transmitting the billing information generated by the billing information generating means to the hospital terminal via the external network.

The invention according to claim 2 is the implant order manufacturing system according to claim 1,
The manufacturer terminal is
A plurality of different types of implants are provided according to each of a plurality of manufacturers that manufacture different types of implants for each type,
The order information transmitting means of the hospital terminal transmits the order information to the management server for a predetermined type of implant to be attached to the predetermined site of the patient among the plurality of types of implants,
The management server
For each of the plurality of types of implants, manufacturer information storage means for storing manufacturer information for specifying the manufacturer of the implant for each type;
Based on the manufacturer information stored in the manufacturer information storage means, a manufacturer of a predetermined type of implant related to the order information received by the order information receiving means from the plurality of manufacturers is selected. A manufacturer specifying means for specifying,
The manufacturing instruction transmitting means includes
The manufacturing instruction information generated by the manufacturing instruction generating unit is transmitted to the manufacturer terminal used by the manufacturer specified by the manufacturer specifying unit among the plurality of manufacturer terminals. It is a feature.

The invention according to claim 3 is the implant order manufacturing system according to claim 1 or 2,
The management server
The implant manufactured by the implant manufacturing apparatus is connected to a collection / delivery terminal used by a collection / delivery company that collects the implant from the manufacturer and delivers it to the hospital via the external network,
A collection / delivery instruction generating means for generating collection / delivery instruction information for instructing the collection / delivery of the implant by the collection / delivery company based on the reception of the manufacturing completion information by the completion information receiving means;
A collection / delivery instruction transmission means for transmitting the collection / delivery instruction information generated by the collection / delivery instruction generation means to the collection / delivery company terminal;
The collection and delivery terminal is
A collection / delivery instruction receiving means for receiving the collection / delivery instruction information transmitted from the collection / delivery instruction transmitting means;
Delivery completion information transmitting means for transmitting the delivery completion information of the implant to the management server after the implant related to the collection / delivery instruction information received by the collection / delivery instruction receiving means is delivered to the hospital by the collection / delivery company; Prepared,
The management server further includes:
Further comprising delivery completion information receiving means for receiving the delivery completion information transmitted from the delivery completion information transmitting means;
The billing information generating means generates the billing information after the delivery completion information receiving means receives the delivery completion information.

The invention according to claim 4 is the implant order manufacturing system according to claim 3 ,
The hospital terminal
After the implant delivered by the collection / delivery company is used in the hospital, further comprising used information transmitting means for transmitting used information of the implant to the management server,
The management server
Further comprising used information receiving means for receiving the used information transmitted from the used information transmitting means;
The billing information generating means further generates the billing information after the used information receiving means receives the used information.

  According to the present invention, it is possible to efficiently sell one implant scheduled to be used in orthopedic surgery, and to improve the efficiency of storing and sterilizing the implant on the hospital side.

1 is a diagram schematically showing a schematic configuration of an implant order manufacturing system exemplified as a preferred embodiment to which the present invention is applied. It is a block diagram which shows the hospital terminal which comprises the implant order manufacturing system of FIG. It is a block diagram which shows the surgery assistance apparatus which comprises the implant order manufacturing system of FIG. It is a figure which shows typically the implant shape data memorize | stored in the surgery assistance apparatus of FIG. It is a block diagram which shows the management server which comprises the implant order manufacturing system of FIG. It is a block diagram which shows the manufacturer terminal which comprises the implant order manufacturing system of FIG. It is a block diagram which shows the delivery / delivery company terminal which comprises the implant order manufacturing system of FIG. It is a flowchart which shows an example of the operation | movement which concerns on the implant order manufacturing process by the implant order manufacturing system of FIG. FIG. 9 is a flowchart showing a continuation of the implant order manufacturing process of FIG. 8. It is a flowchart which shows an example of the operation | movement which concerns on the implant order shipment process by the implant order shipment system illustrated as suitable one Embodiment to which this invention is applied. It is a figure for demonstrating the shipment state of the artificial hip joint system as an example of an implant. FIG. 12 represents a continuation of FIG. 11 and illustrates a shipping state of the artificial hip joint system. It is a figure for demonstrating the shipment state of the artificial knee joint system as an example of an implant. FIG. 14 is a diagram illustrating a continuation of FIG. 13 and illustrating a shipping state of the artificial knee joint system. It is a figure for demonstrating the shipment state of the artificial knee joint system as an example of the implant which concerns on this invention. FIG. 16 is a diagram illustrating the continuation of FIG. 15 and illustrating a shipping state of the artificial knee joint system. It is a figure for demonstrating the shipment state of the spinal system as an example of the implant which concerns on this invention. It is a figure for demonstrating the correspondence of the preoperative plan and use result of the spinal system of FIG.

Hereinafter, specific embodiments of the present invention will be described with reference to the drawings. However, the scope of the invention is not limited to the illustrated examples.
FIG. 1 is a diagram schematically showing a schematic configuration of an implant order manufacturing system 100 exemplified as a preferred embodiment to which the present invention is applied.

The implant order manufacturing system 100 according to the present embodiment is a system for receiving an order for an implant used in the hospital H and managing the manufacture of the implant manufacturer M. Specifically, as shown in FIG. 1, the implant order manufacturing system 100 includes a plurality of hospital terminals 1 installed in a plurality of hospitals H (for example, first and second hospitals H1, H2, etc.), Used by a plurality of manufacturer terminals 2 used by manufacturers M of different types of implants (for example, first and second manufacturers M1, M2, etc.) and an implant collection and delivery service provider S A collection / delivery company terminal 3 and a management server 4 used by the management company C of the system 100 are provided. The plurality of hospital terminals 1,..., The plurality of manufacturer terminals 2,..., The collection / delivery company terminal 3, and the management server 4 can communicate information via an external network (communication line) N1 such as the Internet. It is connected to the.
In FIG. 1, the first and second hospitals H1, H2 are illustrated as a plurality of hospitals H,..., And the first and second manufacturers M1, M2 are illustrated as a plurality of manufacturers M,. Although illustrated, the number of hospitals H and manufacturers M is an example and is not limited to this, and can be arbitrarily changed as appropriate.

First, the hospital terminal 1 will be described in detail with reference to FIG.
FIG. 2 is a block diagram illustrating a schematic configuration of the hospital terminal 1.
The hospital terminal 1 is installed in each of a plurality of hospitals H,..., And each hospital terminal 1 has substantially the same configuration. Specifically, as shown in FIG. 2, each hospital terminal 1 includes a central control unit 11, a memory 12, a program memory 13, a communication control unit 14, a display unit 15, a display control unit 16, And an operation input unit 17.

The central control unit 11 controls each unit of the hospital terminal 1. Specifically, the central control unit 11 includes a CPU (Central Processing Unit; not shown), and performs various control operations according to various processing programs (not shown) for the hospital terminal 1.

  The memory 12 is composed of, for example, a DRAM (Dynamic Random Access Memory) or the like, and temporarily stores data processed by the central control unit 11, the communication control unit 14, the display control unit 16, and the like.

  The program memory 13 is composed of, for example, a nonvolatile memory (flash memory), an HDD (Hard Disc Drive), or the like, and stores various programs and data (not shown) necessary for the operation of the central control unit 11. Specifically, the program memory 13 stores an order information generation program 13a and a used information generation program 13b.

  The order information generation program 13 a is a program for causing the CPU of the central control unit 11 to realize a function related to the order information generation processing for generating the order information of the implant specified by the surgery support apparatus 10. That is, after the type, shape, and dimensions of the implant used for the orthopedic surgery are specified by the surgery support device 10 (described later), the implant is transmitted from the surgery support device 10 via the in-hospital network N2. When such implant identification information (described later) is received by the communication control unit 14, the CPU of the central control unit 11 reads out the order information generation program 13a from the program memory 13 according to a predetermined operation of the operation input unit 17 by the user, and The program is executed to execute processing for generating implant order information related to the received implant specifying information.

  The used information generation program 13b is a program for causing the CPU of the central control unit 11 to realize a function related to used information generation processing for generating used information of the implants used in the hospital H. That is, after the implant manufactured by the manufacturer M and delivered by the collection and delivery service provider S is used for orthopedic surgery in the hospital H, the CPU of the central control unit 11 follows the predetermined operation of the operation input unit 17 by the user. The used information generation program 13b is read from the program memory 13, the program is executed, and processing for generating used information of the implant is executed.

The communication control unit 14 includes, for example, a modem (MODEM: Modulator / DEModulater), a terminal adapter (Terminal Adapter), and the like, and controls communication of information with an external device such as the management server 4 via the external network N1. And performing communication control of information with the surgery support apparatus 10 via the in-hospital network N2.
That is, the communication control unit 14 transmits the order information of the implant generated by the order information generation process to the management server 4 via the external network N1 as the order information transmission unit. Specifically, the communication control unit 14 provides surgical support for a predetermined type of implant scheduled to be attached to a predetermined part of the affected area of a patient among a plurality of types of implants (for example, an artificial knee joint and an artificial vertebral body). When the specific information of the implant having the predetermined shape and size specified by the apparatus 10 is transmitted from the surgery support apparatus 10 via the in-hospital network N2, the specific information of the implant is received. Then, the communication control unit 14 transmits the implant order information generated by the order information generation process by the CPU of the central control unit 11 to the management server 4 via the external network N1 based on the reception of the implant specific information. Send.

  Moreover, the communication control part 14 transmits the used information of the implant produced | generated by the used information production | generation process to the management server 4 via the external network N1 as a used information transmission means. Specifically, the communication control unit 14 performs the used information generation processing by the CPU of the central control unit 11 after the implant manufactured by the manufacturer M and delivered by the collection and delivery service provider S is used for surgery in the hospital H. The used information of the generated implant is transmitted to the management server 4 via the external network N1.

The external network N1 is a communication network that connects the hospital terminal 1, the manufacturer terminal 2, the collection / delivery company terminal 3, and the management server 4 constituting the system 100 via a wireless base station, a gateway server (both not shown), and the like. It is. Specifically, a line form such as a WAN (Wide Area Network) can be applied as the external network N1.
The in-hospital network N2 is a communication network that is constructed for each hospital H and connects the hospital terminal 1 and the surgery support apparatus 10 via a wireless base station, a gateway server (both not shown), and the like. Specifically, a line form such as a LAN (Local Area Network) can be applied as the in-hospital network N2.
The external network N1 and the in-hospital network N2 can use a dedicated line or an existing general public line. For example, a telephone line network, an ISDN line network, a dedicated line, a mobile communication network, a communication satellite line, a CATV line network And various communication network networks, IP networks, VoIP (Voice over Internet Protocol) gateways, Internet service providers, and the like.

  The display unit 15 includes a display such as an LCD (Liquid Crystal Display) and a CRT (Cathode Ray Tube), and displays various types of information on the display screen under the control of the display control unit 16.

The display control unit 16 performs control to generate display data and display it on the display screen of the display unit 15.
Specifically, the display control unit 16 includes a video card (not shown) including, for example, a GPU (Graphics Processing Unit), a VRAM (Video Random Access Memory), and the like. Then, in accordance with the display instruction from the central control unit 11, the display control unit 16 generates display data for a predetermined image such as an implant order information screen by a video card drawing process, and outputs it to the display unit 15. .

  The operation input unit 17 includes, for example, a data input key for inputting numerical values, characters, and the like, a keyboard, a mouse, and the like configured by up / down / left / right movement keys and various function keys for selecting and sending data The operation unit (not shown) is provided, and a predetermined operation signal is output to the central control unit 11 in accordance with the operation of these operation units.

The hospital terminal 1 is connected to the surgery support apparatus 10 via the communication control unit 14 and the in-hospital network N2 so that information communication is possible.
The surgery support apparatus 10 is installed in each of a plurality of hospitals H,..., And each surgery support apparatus 10 has substantially the same configuration. The surgery support apparatus 10 analyzes the type, shape, and dimensions of an implant attached to a patient's affected part in a preoperative plan of surgery and specifies the result by simulation. The orthopedic surgery is supported by instructing the amount of osteotomy and the osteotomy position of the affected part using a screen display or the like as necessary.
In addition, the surgery support apparatus 10 may be provided for each type of a plurality of different types of implants (for example, an artificial knee joint and an artificial vertebral body). For example, the first hospital H1 includes an artificial knee. On the other hand, the second hospital H2 may be provided with an operation support apparatus 10 related to an orthopedic operation of an artificial vertebral body, or may be provided. In the hospital H (for example, the first hospital H1), the operation support device 10 related to the orthopedic operation of the artificial knee joint and the operation support device 10 related to the orthopedic operation of the artificial vertebral body are separately provided. May be.

Below, the surgery assistance apparatus 10 is demonstrated in detail with reference to FIG.3 and FIG.4.
FIG. 3 is a block diagram illustrating a schematic configuration of the surgery support apparatus 10.
As shown in FIG. 3, the surgery support apparatus 10 includes a central control unit 101, a memory 102, a program memory 103, a communication control unit 104, a display unit 105, a display control unit 106, and an operation input unit 107. The data storage unit 108 and the data acquisition unit 109 are provided.

  The central control unit 101 controls each unit of the surgery support apparatus 10. Specifically, the central control unit 101 includes a CPU (not shown) and performs various control operations according to various processing programs (not shown) for the surgery support apparatus 10.

  The memory 102 is composed of, for example, a DRAM or the like, and temporarily stores data processed by the central control unit 101, the data storage unit 108, the data acquisition unit 109, the communication control unit 104, the display control unit 106, and the like.

  The program memory 103 is composed of, for example, a non-volatile memory, an HDD, or the like, and stores various programs and data (not shown) necessary for the operation of the central control unit 101. Specifically, the program memory 103 stores an implant identification program 103a and an intraoperative support program 103b.

The implant specifying program 103a is a program for causing the CPU of the central control unit 101 to realize a function related to processing for specifying an implant scheduled to be attached to a predetermined site of a patient's affected area from among a plurality of implants. That is, the CPU of the central control unit 101 reads out the implant identification program 103a from the program memory 103 and executes the program according to a predetermined operation of the operation input unit 107 by the user, and in the preoperative plan of the operation, the data acquisition unit 109 Based on the patient's bone shape data 109a and the plurality of implant shape data d (see FIG. 4, which will be described later) stored in the data storage unit 108, the patient is scheduled to be attached to a predetermined part of the patient among the plurality of implants. Analyzes and identifies the implants by simulation.
Specifically, the CPU of the central control unit 101 is scheduled to be attached to the affected area of the patient from a plurality of types of implants (for example, an artificial knee joint and an artificial vertebral body) based on execution of the implant specifying program 103a. Specific types of implants (for example, artificial knee joints), and the shape of the implant attached to the affected area of the patient (for example, the shape of the sliding surfaces of the femoral side joint constituent member and the tibial side joint constituent member) And the like (inner shape on the bone side, etc.) and dimensions (such as width in the front-rear direction and left-right direction with reference to the anatomical orientation) are specified by simulation, and the specific information of the implant is generated. At this time, if necessary, the amount and position of the osteotomy of the attachment site of the affected part may be analyzed and specified by simulation.
The implant specifying program 103a may be provided for each type of a plurality of types of implants. In this case, the CPU of the central control unit 101 executes a program related to a predetermined type of implant selected by a user (such as a doctor) from among a plurality of programs. The shape and dimensions are analyzed and specified by simulation.

  The intraoperative support program 103b is a program for causing the CPU of the central control unit 101 to realize a function related to the process of supporting the attachment and fixing to the attachment site of the affected part of the implant specified in the implant specifying process. That is, the CPU of the central control unit 101 reads out the intraoperative support program 103b from the program memory 103 according to a predetermined operation of the operation input unit 107 by the user, executes the program, and during the operation, the actual mounting position and mounting angle of the implant. In addition, if necessary, the amount of osteotomy or the osteotomy position of the affected part is controlled by the display control unit 106 and displayed on the display unit 105 on the screen.

The data storage unit 108 stores, for each of a plurality of types of implants (for example, an artificial knee joint and an artificial vertebral body), a plurality of implant shape data d (see FIG. 4) related to the three-dimensional shape of the plurality of implants. .
Here, examples of the implant include artificial joints such as an artificial knee joint and an artificial hip joint, and a spine cage and an artificial vertebral body for fixing or correcting or stabilizing a fractured spine. However, the present invention is not limited to these, and can be arbitrarily changed as appropriate. The implant shape data d was designed for each of a plurality of types of implants with different at least one of the external shape and dimensions based on the human physical characteristics such as race, age, and sex. It is data concerning the three-dimensional shape of the implant. For example, as shown in FIG. 4, the implant shape data d is based on the anatomical orientation, and is a dimension in the front-back direction of the implant (the direction in which the face is facing is the front side and the back side is the back side). A plurality of ones having different dimensions (left and right widths) in the (front-rear width) and the left-right direction (the left-right direction from the observer) are defined. Specifically, for example, x1 to x5 are defined as the front and back width (mm) and y1 to y5 are defined as the left and right width (mm). It is subdivided into A1-A5, B1-B5, C1-C5, D1-D5, E1-E5.
The implant shape data d is exemplified by a plurality of dimensions in the front-rear direction and the left-right direction on the basis of the anatomical position. However, it is only an example and is not limited to this, and can be changed arbitrarily. Is possible. For example, in addition to the front-rear direction and the left-right direction, a plurality of dimensions in the vertical direction (the direction with the head on the upper side and the direction with the foot on the lower side) may be defined. Among these, a plurality of dimensions in any one direction and the vertical direction may be defined, or only a dimension in any one direction among the front-rear direction, the horizontal direction, and the vertical direction may be defined.

  Further, the implant shape data d may be defined by changing a plurality of shapes such as an outer shape and an inner shape in addition to the dimensions in the front-rear direction, the left-right direction, the up-down direction, and the like. That is, the implant according to the implant shape data d has substantially the same shape, such as the outer shape and the inner shape, but, for example, an artificial joint having a depression or a space portion on the inner side (attached bone side). In this case, at least one of the outer dimension of the artificial joint, the depression, and the inner dimension of the space portion may be made different.

  The data acquisition unit 109 acquires bone shape data 109a related to a three-dimensional shape of a predetermined site where a patient's affected part (bone) implant is attached. That is, the data acquisition unit 109, for example, the attachment site generated based on the two-dimensional tomographic image data of the attachment site of the affected area of the patient imaged by a medical tomographic image diagnostic apparatus such as an X-ray CT apparatus or an MRI apparatus. The three-dimensional bone shape data 109a is acquired. The three-dimensional bone shape data 109a may be generated by the surgery support apparatus 10 or by an external data generation apparatus (not shown).

The communication control unit 104 includes, for example, a modem, a terminal adapter, and the like, and performs information communication control with the hospital terminal 1 via the hospital network N2.
Specifically, the communication control unit 104 transmits the specific information of the implant specified by the surgery support apparatus 10 to the hospital terminal 1 via the in-hospital network N2.

  The display unit 105 includes a display such as an LCD or a CRT, and displays various types of information on the display screen under the control of the display control unit 106.

The display control unit 106 performs control to generate display data and display it on the display screen of the display unit 105.
Specifically, the display control unit 106 includes, for example, a video card (not shown) including a GPU, a VRAM, and the like. Then, according to the display instruction from the central control unit 101, the display control unit 106 generates display data for a predetermined image such as a screen for identifying an implant, for example, by drawing processing using a video card, and outputs it to the display unit 105. .

  The operation input unit 107 is, for example, a keyboard or mouse configured by data input keys for inputting numerical values, characters, etc., up / down / left / right movement keys for performing data selection, feeding operations, etc., various function keys, etc. The operation unit (not shown) is provided, and a predetermined operation signal is output to the central control unit 101 in accordance with the operation of these operation units.

Next, the management server 4 will be described with reference to FIG.
FIG. 5 is a block diagram illustrating a schematic configuration of the management server 4.
The management server 4 manages order manufacturing of implants used in a plurality of hospitals H,..., And is composed of, for example, a personal computer. Specifically, as shown in FIG. 5, the management server 4 includes a central control unit 41, a memory 42, a program memory 43, a communication control unit 44, a display unit 45, a display control unit 46, and an operation. An input unit 47 and a data storage unit 48 are provided.

  The central control unit 41 controls each unit of the management server 4. Specifically, the central control unit 41 includes a CPU (not shown) and performs various control operations according to various processing programs (not shown) for the management server 4.

  The memory 42 is composed of, for example, a DRAM or the like, and temporarily stores data processed by the central control unit 41, the data storage unit 48, the communication control unit 44, the display control unit 46, and the like.

  The program memory 43 is composed of, for example, a nonvolatile memory, an HDD, or the like, and stores various programs and data (not shown) necessary for the operation of the central control unit 41. Specifically, the program memory 43 stores a manufacturer identification program 43a, a manufacturing instruction information generation program 43b, a collection / delivery instruction information generation program 43c, and a billing information generation program 43d.

The manufacturer specifying program 43a causes the CPU of the central control unit 41 to function as manufacturer specifying means. That is, the manufacturer specifying program 43a is a manufacturer specifying process for specifying a manufacturer M of a predetermined type of implant (for example, an artificial knee joint) related to implant order information from among a plurality of manufacturers M,. This is a program for causing the CPU of the central control unit 41 to realize the function according to.
Specifically, the CPU of the central control unit 41 receives the implant order information transmitted from the hospital terminal 1 (for example, the hospital terminal 1 installed in the first hospital H1) by the communication control unit 44. The manufacturer specifying program 43a is read from the program memory 43, the program is executed, and based on the manufacturer information 48a stored in the data storage unit 48, implant order information from among a plurality of manufacturers M,. The manufacturer M (for example, 1st manufacturer M1 etc.) matched with the predetermined kind of implant concerning is identified.

The manufacturing instruction information generation program 43b causes the CPU of the central control unit 41 to function as manufacturing instruction generation means. That is, the manufacturing instruction information generation program 43b is a program for causing the CPU of the central control unit 41 to realize a function related to a manufacturing instruction information generation process for generating manufacturing instruction information of an implant scheduled to be attached to a predetermined part of an affected part of a patient. is there.
Specifically, when the order information of the implant transmitted from the hospital terminal 1 is received by the communication control unit 44, the CPU of the central control unit 41 reads out the manufacturing instruction information generation program 43b from the program memory 43, and the program To generate the manufacturing instruction information of the implant scheduled to be attached to a predetermined part of the affected part of the patient based on the order information.

The collection / delivery instruction information generation program 43c causes the CPU of the central control unit 41 to function as a collection / delivery instruction generation unit. That is, the collection / delivery instruction information generation program 43c is a program for causing the CPU of the central control unit 41 to realize a function related to collection / delivery instruction generation processing for generating collection / delivery instruction information for instructing collection / delivery by the implant collection / delivery service provider S.
Specifically, the CPU of the central control unit 41 reads out the collection / delivery instruction information generation program 43 c from the program memory 43 when the production completion information of the implant transmitted from the manufacturer terminal 2 is received by the communication control unit 44. Execute the program, collect the implants from the manufacturer M (for example, the first manufacturer M1), and generate the collection / delivery instruction information for instructing the delivery to the ordering hospital H (for example, the first hospital H1). To do.

The billing information generation program 43d causes the CPU of the central control unit 41 to function as billing information generation means. That is, the billing information generation program 43d provides the CPU of the central control unit 41 with a function related to billing information generation processing for generating billing information for the price of an implant manufactured by the implant manufacturing apparatus 20 used by a predetermined manufacturer M. It is a program for realizing.
Specifically, the CPU of the central control unit 41 sends the implant manufacturing completion information transmitted from the manufacturer terminal 2 (for example, the manufacturer terminal 2 used by the first manufacturer M1) by the communication control unit 44. After receiving the implant delivery completion information transmitted from the collection / delivery company terminal 3 by the communication control unit 44, the billing information generating program 43d is read from the program memory 43 and the program is executed to charge the cost of the implant Generate information. More specifically, the CPU of the central control unit 41 receives the implant manufacturing completion information transmitted from the manufacturer terminal 2 by the communication control unit 44, and then installs the hospital terminal 1 (for example, the first hospital H1). After receiving the used information of the implant transmitted from the hospital terminal 1 or the like by the communication control unit 44, the billing information generating program 43d is read from the program memory 43 and the program is executed, and billing information for the cost of the implant is obtained. Generate.
It should be noted that the timing of generating the billing information for the implant by the CPU of the central control unit 41 is transmitted from the hospital terminal 1 after receiving the implant delivery completion information transmitted from the collection / delivery company terminal 3 by the communication control unit 44. However, the present invention is not limited to this. After the implanting completion information transmitted from the manufacturer terminal 2 is received by the communication control unit 44, the used information of the used implant is received by the communication control unit 44. Any timing may be used.

The data storage unit 48 stores manufacturer information 48a for specifying the manufacturer M of the implant for each type of the implant.
The manufacturer information 48a is defined, for example, by associating each type of implant with the manufacturer M for a plurality of types of implants. Specifically, although illustration is omitted, for example, the artificial knee joint and the first manufacturer M1 are associated with each other, and the artificial vertebral body and the second manufacturer M are associated with each other.
Here, the data storage unit 48 constitutes manufacturer information 48a storage means for storing manufacturer information 48a for specifying each type of implant manufacturer M for each of a plurality of types of implants. Yes.

The communication control unit 44 includes, for example, a modem, a terminal adapter, and the like, and performs information communication control with the hospital terminal 1, the manufacturer terminal 2, and the like via the external network N1.
Specifically, the communication control unit 44 receives an external network from the communication control unit 14 (order information transmission unit) of the hospital terminal 1 (for example, the hospital terminal 1 installed in the first hospital H1) as the order information reception unit. Implant order information transmitted via N1 is received.

  Further, the communication control unit 44 transmits, as a manufacturing instruction transmission unit, the manufacturing instruction information of the implant generated by the manufacturing instruction information generation process to the manufacturer terminal 2 via the external network N1. Specifically, the communication control unit 44 is a manufacturer terminal used by the manufacturer M (for example, the first manufacturer M1 or the like) specified by the manufacturer specifying process among the plurality of manufacturer terminals 2. 2, manufacturing instruction information of a predetermined type of implant is transmitted.

  Further, the communication control unit 44 receives, as the completion information receiving unit, the implant completion information transmitted from the communication control unit 24 (completion information transmitting unit) of the manufacturer terminal 2 via the external network N1. Specifically, the communication control unit 44 manufactures the implant instructed by the implant manufacturing instruction information after the implant M is manufactured by the predetermined implant manufacturing apparatus 20 of the manufacturer M (for example, the first manufacturer M1). The manufacturing completion information of the implant transmitted from the communication control unit 24 of the manufacturer terminal 2 used by the supplier M is received.

  Further, the communication control unit 44 transmits, as a collection / delivery instruction transmission unit, the collection / delivery instruction information of the implant manufactured by the manufacturer M to the collection / delivery service terminal 3 used by the collection / delivery service company S via the external network N1. Specifically, the communication control unit 44 transmits the implant collection / delivery instruction information generated in the collection / delivery instruction information generation process to the collection / delivery trader terminal 3 based on the reception of the implant production completion information.

  Further, the communication control unit 44 receives the delivery completion information of the implant transmitted from the communication control unit 34 (delivery completion information transmitting unit) of the delivery / delivery company terminal 3 via the external network N1 as the delivery completion information receiving unit. Specifically, after the implant is delivered to the ordering hospital H (for example, the first hospital H1 or the like) by the collection / delivery service provider S, the communication control unit 44 uses the operation input unit 37 of the collection / delivery company terminal 3 by the user. The implant delivery completion information transmitted from the communication control unit 34 based on the predetermined operation is received.

  Moreover, the communication control part 44 receives the used information of the implant transmitted via the external network N1 from the communication control part 14 (used information transmission means) of the hospital terminal 1 as used information receiving means. Specifically, the communication control unit 44 uses the hospital terminal 1 (for example, the first hospital) by the user after the implant delivered by the collection and delivery service provider S is used in the ordering hospital H (for example, the first hospital H1 or the like). The used information of the implant transmitted from the communication control unit 14 based on a predetermined operation of the operation input unit 17 of the hospital terminal 1 or the like installed in one hospital H1 is received.

  Moreover, the communication control part 44 transmits the charge information of the cost of the implant produced | generated by the charge information generation process to the hospital terminal 1 via the external network N1 as a charge information transmission means. Specifically, the communication control unit 44, after receiving the implant delivery completion information transmitted from the collection / delivery company terminal 3, displays the billing information for the cost of the implant generated in the billing information generation process in the hospital terminal 1 (for example, To the hospital terminal 1 installed in the first hospital H1). More specifically, the communication control unit 44 transmits, to the hospital terminal 1, billing information for the cost of the implant generated in the billing information generation process after receiving the used information of the implant transmitted from the hospital terminal 1. .

  The display unit 45 includes a display such as an LCD or a CRT, for example, and displays various information on the display screen under the control of the display control unit 46.

The display control unit 46 performs control to generate display data and display it on the display screen of the display unit 45.
Specifically, the display control unit 46 includes a video card (not shown) including, for example, a GPU, a VRAM, and the like. Then, in accordance with the display instruction from the central control unit 41, the display control unit 46 generates display data of a predetermined image such as a management screen for order manufacturing of implants by a drawing process using a video card, and the display unit 45 Output to.

  The operation input unit 47 includes, for example, a keyboard or a mouse configured by data input keys for inputting numerical values, characters, etc., up / down / left / right movement keys for performing data selection, feed operation, and the like, and various function keys. The operation unit (not shown) is provided, and a predetermined operation signal is output to the central control unit 41 in accordance with the operation of these operation units.

Next, the manufacturer terminal 2 will be described with reference to FIG.
FIG. 6 is a block diagram illustrating a schematic configuration of the manufacturer terminal 2.

A plurality of manufacturer terminals 2 are provided in accordance with each of a plurality of manufacturers M that manufacture a plurality of different types of implants for each type (for example, first and second manufacturers M1, M2, etc.). ing. That is, each of a plurality of manufacturers M,... Manufactures only a predetermined type of implant among a plurality of different types of implants (for example, an artificial knee joint and an artificial vertebral body). The manufacturer M1 manufactures the artificial knee joint, while the second manufacturer M manufactures the artificial vertebral body.
Each manufacturer terminal 2 has substantially the same configuration, for example, a personal computer. Specifically, as shown in FIG. 6, the manufacturer terminal 2 includes a central control unit 21, a memory 22, a program memory 23, a communication control unit 24, a display unit 25, a display control unit 26, And an operation input unit 27.

  The central control unit 21 controls each unit of the manufacturer terminal 2. Specifically, the central control unit 21 includes a CPU (not shown) and performs various control operations according to various processing programs (not shown) for the manufacturer terminal 2.

  The memory 22 is composed of, for example, a DRAM or the like, and temporarily stores data processed by the central control unit 21, the communication control unit 24, the display control unit 26, and the like.

  The program memory 23 is configured by, for example, a nonvolatile memory, an HDD, or the like, and stores various programs and data (not shown) necessary for the operation of the central control unit 21.

The communication control unit 24 includes, for example, a modem, a terminal adapter, and the like, and performs information communication control with the management server 4 and the like via the external network N1.
Specifically, the communication control unit 24 receives, as a manufacturing instruction receiving unit, implant manufacturing instruction information transmitted from the communication control unit 44 (manufacturing instruction transmitting unit) of the management server 4 via the external network N1.
Moreover, the communication control part 24 transmits the manufacture completion information of the implant which concerns on manufacture instruction information to the management server 4 via the external network N1 as completion information transmission means. Specifically, the communication control unit 24 sends the implant production completion information to the management server 4 after an implant having a shape and a dimension related to the received implant production instruction information is produced by the predetermined implant production apparatus 20. Send.

  The display unit 25 includes a display such as an LCD or a CRT, for example, and displays various information on the display screen under the control of the display control unit 26.

The display control unit 26 performs control to generate display data and display it on the display screen of the display unit 25.
Specifically, the display control unit 26 includes a video card (not shown) including, for example, a GPU, a VRAM, and the like. Then, in accordance with the display instruction from the central control unit 21, the display control unit 26 generates display data for a predetermined image such as a reception screen of implant manufacturing instruction information by a drawing process using a video card, and displays the display unit 25. Output to.

  The operation input unit 27 includes, for example, a data input key for inputting numerical values, characters, and the like, a keyboard, a mouse, and the like configured by up / down / left / right movement keys for performing data selection, feeding operation, and various function keys. The operation section (not shown) is provided, and a predetermined operation signal is output to the central control section 21 in accordance with the operation of these operation sections.

The implant manufacturing device 20 is a processing device for manufacturing a predetermined type of implant among a plurality of different types of implants, and a plurality of implant manufacturing devices 20 are provided for each of a plurality of manufacturers M,. . Then, the implant manufacturing apparatus 20 manufactures an implant having a predetermined shape and size in accordance with the implant manufacturing instruction information received by the manufacturer terminal 2. Specifically, the implant manufacturing apparatus 20 has data substantially equivalent to the implant shape data d relating to the three-dimensional shape of a predetermined type of implant (for example, an artificial knee joint) stored in the surgery support apparatus 10. One implant having a predetermined shape and size to be used for orthopedic surgery ordered from the hospital H is manufactured using the stored implant shape data d.
In addition, the implant is comprised from medical materials, such as an alloy and stainless steel which contain titanium etc. in a predetermined ratio, for example.

Next, the collection / delivery company terminal 3 will be described with reference to FIG.
FIG. 7 is a block diagram showing a schematic configuration of the collection / delivery company terminal 3.
The collector / delivery terminal 3 collects the implants manufactured by the predetermined implant manufacturing apparatus 20 from the manufacturer M (for example, the first manufacturer M1) and sends it to the ordering hospital H (for example, the first hospital H1). It is used by the delivery service provider S to deliver, and is composed of, for example, a personal computer. Specifically, as shown in FIG. 7, the collection / delivery company terminal 3 includes a central control unit 31, a memory 32, a program memory 33, a communication control unit 34, a display unit 35, a display control unit 36, An operation input unit 37 and a slip creation unit 38 are provided.

  The central control unit 31 controls each unit of the collection / delivery company terminal 3. Specifically, the central control unit 31 includes a CPU (not shown) and performs various control operations according to various processing programs (not shown) for the collection / delivery company terminal 3.

  The memory 32 is composed of, for example, a DRAM or the like, and temporarily stores data processed by the central control unit 31, the communication control unit 34, the display control unit 36, the slip creation unit 38, and the like.

  The program memory 33 is composed of, for example, a non-volatile memory or HDD, and stores various programs and data (not shown) necessary for the operation of the central control unit 31.

The slip creation unit 38 operates under the control of the CPU of the central control unit 31, prints various information on the base paper of the slip, and creates a slip (not shown) related to the collection and delivery of the implant. That is, the slip creation unit 38 creates a slip used for the collection and delivery of the implant by the collector based on the implant collection / delivery instruction information received by the communication control unit 34.
Here, the various information printed on the slip includes, for example, the hospital name (for example, the name of the first hospital, etc.) and address of the implant orderer that is the delivery destination, and the manufacturer name that is the implant manufacturer (collection destination). (For example, a 1st manufacturer name etc.), an address, the implant name which is a collection thing, a number, etc. are mentioned.

  In addition, for example, information on the collection and delivery management of the implant is printed on the slip in the form of a barcode (one-dimensional code) or a two-dimensional code that can be read by the scanner of the collector / delivery terminal 30 used by the collector / deliverer. May be. Then, after the implant is delivered to the hospital H, when the information for collection / delivery management of the implant is read based on a predetermined operation of the collector / delivery terminal 30 by the collector / deliverer, the collector / delivery terminal 30 displays the delivery completion information of the implant. Is transmitted to the collection / delivery company terminal 3 via the external network N1.

The communication control unit 34 includes, for example, a modem, a terminal adapter, and the like, and performs information communication control with the management server 4 and the like via the external network N1.
Specifically, the communication control unit 34 receives implant collection / delivery instruction information transmitted from the communication control unit 44 (collection / delivery instruction transmission unit) of the management server 4 via the external network N1 as the collection / delivery instruction reception unit.
Further, the communication control unit 34 transmits the delivery completion information of the implant to the management server 4 via the external network N1 as a delivery completion information transmission unit. Specifically, the communication control unit 34, after an implant related to the received implant collection / delivery instruction information is delivered to a hospital H (for example, the first hospital H1 or the like) by the collector / deliverer, When the delivery completion information transmitted from the collector terminal 30 is received based on the predetermined operation, the implant delivery completion information is transmitted to the management server 4.
The collector / delivery terminal 30 is configured as an information communication terminal such as a PDA (Personal Digital Assistant) or a mobile phone.

  The display unit 35 includes a display such as an LCD or a CRT, for example, and displays various types of information on the display screen under the control of the display control unit 36.

The display control unit 36 performs control to generate display data and display it on the display screen of the display unit 35.
Specifically, the display control unit 36 includes, for example, a video card (not shown) including a GPU, a VRAM, and the like. Then, in accordance with the display instruction from the central control unit 31, the display control unit 36 generates display data for a predetermined image such as a reception screen of implant collection / delivery instruction information by a drawing process using a video card, and the display unit 35 Output to.

  The operation input unit 37 is, for example, a keyboard or mouse configured by data input keys for inputting numerical values, characters, and the like, up / down / left / right movement keys for performing data selection, feed operation, and various function keys. The operation unit (not shown) is provided, and a predetermined operation signal is output to the central control unit 31 according to the operation of these operation units.

Next, the implant order manufacturing process will be described with reference to FIGS.
FIG. 8 and FIG. 9 are flowcharts showing an example of operations related to the implant order manufacturing process by the implant order manufacturing system 100.
In the implant order manufacturing process described below, for example, an orthopedic operation is performed at the first hospital H1, and the implant is used by the first manufacturer M1 as an implant used for the orthopedic operation. An example of an artificial knee joint will be described.

As shown in FIG. 8, first, in the surgery support apparatus 10 installed in the first hospital H1, the CPU of the central control unit 101 performs an implant identification process in a preoperative plan for surgery (step S1). ). Specifically, the CPU of the central control unit 101 reads the implant identification program 103a from the program memory 103 according to a predetermined operation of the operation input unit 107 by the user, executes the program, and acquires the patient acquired by the data acquisition unit 109 Based on the bone shape data 109a and the plurality of implant shape data d stored in the data storage unit 108, an implant to be attached to a predetermined site of the patient is analyzed among the plurality of implants and specified by simulation. Specifically, among a plurality of types of implants (for example, an artificial knee joint and an artificial vertebral body), the shape of an artificial knee joint to be attached to the affected area of a patient (for example, a femoral side joint component and a tibial side joint) Analyze the shape of the sliding surface of the structural member, the internal shape on the bone side, etc.) and dimensions (such as the width in the front-rear direction and the left-right direction based on the anatomical position), and specify by simulation, The specific information of the implant is generated.
Subsequently, the communication control unit 104 transmits the implant specifying information specified in the implant specifying process to the hospital terminal 1 via the in-hospital network N2 (step S2).

In the hospital terminal 1, when the implant control information received from the surgery support apparatus 10 via the in-hospital network N 2 is received by the communication control unit 14 (step S 3), the CPU of the central control unit 11 An order information generation process for generating order information is performed (step S4). Specifically, the CPU of the central control unit 11 reads the order information generation program 13a from the program memory 13 according to a predetermined operation of the operation input unit 17 by the user, executes the program, and receives the implant related to the received implant specifying information Generate order information for.
Thereafter, the communication control unit 14 transmits the implant order information generated by the order information generation process to the management server 4 via the external network N1 (step S5).

  In the management server 4, when the order information of the implant transmitted from the hospital terminal 1 is received by the communication control unit 44 (step S <b> 6), the CPU of the central control unit 41 performs predetermined processing related to the order information of the implant. A manufacturer specifying process for specifying a manufacturer M of a type of implant (for example, an artificial knee joint) is performed (step S7). Specifically, the CPU of the central control unit 41 reads the manufacturer specifying program 43 a from the program memory 43 and executes the program, and based on the manufacturer information 48 a stored in the data storage unit 48, A manufacturer M (for example, the first manufacturer M1 or the like) associated with a predetermined type of implant related to the implant order information is specified from the manufacturers M,.

Subsequently, the CPU of the central control unit 41 performs a manufacturing instruction information generation process for generating manufacturing instruction information of an implant scheduled to be attached to a predetermined part of the affected part of the patient (step S8). Specifically, the CPU of the central control unit 41 reads out the manufacturing instruction information generation program 43b from the program memory 43, executes the program, and receives the implant order information transmitted from the hospital terminal 1 and received by the communication control unit 44. Based on the above, the manufacturing instruction information of the implant scheduled to be attached to the predetermined site of the affected part of the patient is generated.
Thereafter, the communication control unit 44 externally transmits the implant manufacturing instruction information generated by the manufacturing instruction information generating process to the manufacturer terminal 2 used by the first manufacturer M1 specified by the manufacturer specifying process. Transmission is performed via the network N1 (step S9).

In the manufacturer terminal 2 used by the first manufacturer M1, the communication control unit 24 receives the implant manufacturing instruction information transmitted from the management server 4 via the external network N1 (step S10).
Thereby, the implant manufacturing apparatus 20 installed in the first manufacturer M1 manufactures an implant having a shape and size according to the implant manufacturing instruction information. Specifically, the implant manufacturing apparatus 20 uses data substantially equivalent to the implant shape data d relating to the three-dimensional shape of a predetermined type of implant (for example, an artificial knee joint) stored in the surgery support apparatus 10. Then, one implant having a predetermined shape and size to be used for orthopedic surgery ordered from the hospital H is manufactured.
Thereafter, the communication control unit 24 transmits the manufacturing completion information of the implant having the shape and the dimension related to the manufacturing instruction information of the implant to the management server 4 via the external network N1 (step S11).

As shown in FIG. 9, in the management server 4, when the manufacture completion information of the implant transmitted from the manufacturer terminal 2 is received by the communication control unit 44 (step S12), the CPU of the central control unit 41 Then, a collection / delivery instruction generating process for generating collection / delivery instruction information for instructing the collection / delivery of the implant by the collection / delivery service company S is performed (step S13). Specifically, the CPU of the central control unit 41 reads the collection / delivery instruction information generation program 43c from the program memory 43, executes the program, collects the manufactured implant from the first manufacturer M1, and serves as an orderer. Collection / delivery instruction information for instructing delivery to the first hospital H1 is generated.
Thereafter, the communication control unit 44 transmits the implant collection / delivery instruction information generated in the collection / delivery instruction information generation process to the collection / delivery trader terminal 3 via the external network N1 (step S14).

In the collection / delivery company terminal 3, when the collection / delivery instruction information of the implant transmitted from the management server 4 via the external network N1 is received by the communication control unit 34 (step S15), the slip creation unit 38 performs the central control. Under the control of the unit 31, based on the received implant collection / delivery instruction information, the name and address of the first hospital that orders the implant to be delivered, the name and address of the first manufacturer that is the implant manufacturer, and collection / delivery Various kinds of information such as the name and number of implants are printed on the slip base paper, and a slip used for picking up and delivering the implant by the collector is created (step S16).
Thereafter, using the created slip, the collection controller delivers the implant related to the implant collection / delivery instruction information from the first manufacturer M1 and delivers it to the first hospital H1. When the delivery completion information transmitted from the collector / deliverer terminal 30 used by the user is received, the delivery completion information of the implant is sent via the external network N1 based on a predetermined operation of the operation input unit 37 of the collector / deliverer terminal 3 by the user. It transmits to the management server 4 (step S17).

  In the management server 4, the communication control unit 44 receives the delivery completion information of the implant transmitted from the collection / delivery company terminal 3 via the external network N1 (step S18).

  Thereafter, in the first hospital H1, by using the surgical operation support device 10, that is, the CPU of the central control unit 101 executes the intraoperative support program 103b, the actual mounting position and mounting angle of the implant, etc. Orthopedic surgery for attaching and fixing the implant to the affected area of the patient in the state where the osteotomy amount and the osteotomy position of the affected area are instructed by controlling the display control unit 106 and displaying on the display unit 105 as necessary. In the hospital terminal 1, the communication control unit 14 transmits the used information of the implant generated based on the execution of the used information generation program 13b by the CPU of the central control unit 11 to the external network N1. To the management server 4 (step S19).

In the management server 4, when the used information of the implant transmitted from the hospital terminal 1 is received by the communication control unit 44 (step S <b> 20), the CPU of the central control unit 41 generates billing information from the program memory 43. The program 43d is read and executed, and billing information generation processing for generating billing information for the cost of the implant manufactured by the first manufacturer M1 is performed (step S21).
Thereafter, the communication control unit 44 transmits the charge information for the implant cost generated in the charge information generation process to the hospital terminal 1 via the external network N1 (step S22).

  In the hospital terminal 1, the communication control unit 14 receives the billing information transmitted from the management server 4 via the external network N1 (step S23), and ends the implant order manufacturing process.

As described above, according to the implant order manufacturing system 100 of the present embodiment, the management server 4 transmits a plurality of shapes and dimensions different from each other, which are transmitted from the hospital terminal 1 and designed in advance based on human physical characteristics. A plurality of implant shape data d relating to the three-dimensional shape of the implant and a patient's predetermined site to be attached specified based on the bone shape data 109a relating to the three-dimensional shape of the predetermined portion to which the patient's bone implant is attached Upon receiving the implant order information, the implant manufacturing instruction information is transmitted to the manufacturer terminal 2 used by the implant manufacturer M. Then, after the implant having the shape and size according to the manufacturing instruction information is manufactured by the predetermined manufacturing apparatus, when the management server 4 receives the manufacturing completion information of the implant transmitted from the manufacturer terminal 2, the management server 4 The billing information is transmitted to the hospital terminal 1.
That is, in the preoperative plan of surgery, analysis (simulation) using the three-dimensional implant shape data d and bone shape data 109a makes it possible to accurately determine the shape and size of the implant to be attached to a predetermined site of the patient. Can be identified. In particular, since the implant itself is designed in consideration of physical characteristics such as race, age, and sex, it is possible to identify one implant having an optimal shape and size. Then, since the manufacturer M only has to manufacture the one implant after placing an order from the hospital H, in order to cope with orthopedic surgery at the hospital, a plurality of shapes and dimensions are secured in advance in stock. There is no need to do it.
The accuracy of the shape and dimensions of the implant specified by the analysis (simulation) using the three-dimensional implant shape data d and the bone shape data 109a in the preoperative plan is described in “J. Jpn. Orthop. Assoc.) 84 (4) 2010 ”,“ Examination of over-hang in the posterior condyles of the femur in total knee replacement—using 3D preoperative planning software Athena ”and“ 2D in TKA The accuracy and accuracy of 2D digital, 3D templating ”and“ 3D pre-operative planning and post-installation evaluation of artificial knee joints, ”etc. It is specified. In addition, it is considered that the accuracy will be further improved by the improvement and development of the preoperative plan analysis device (support device) in the future.
Moreover, since it is not necessary to perform the inspection work required when shipping the implant of the dimension before and behind that other than the implant of the dimension which is planned to use conventionally, delivery of the implant from the manufacturer M to the hospital H is possible. It is also possible to significantly reduce the cost that has occurred in the intermediate stage.
Further, the number of shipments from the manufacturer M to the hospital H can be greatly reduced, and the hospital H side can store the implants by reducing the number of implants that must be stored until they are used in surgery. Not only can the space be reduced, but also the number of sterilization points of the implant can be reduced to reduce the human costs involved in the sterilization operation.
Thus, only one implant scheduled to be used in orthopedic surgery can be manufactured by the manufacturer M after ordering from the hospital H, and the manufacturing efficiency and sales efficiency of the implant can be improved. As a result, it is possible to efficiently sell the implant and to improve the efficiency of storing and sterilizing the implant on the hospital H side.

  In addition, even when a plurality of manufacturers M,... Manufacture a plurality of different types of implants (for example, artificial knee joints, artificial vertebral bodies, etc.) for each type, the management server 4 can manage the plurality of types of implants. Since the manufacturer M of the specific type of implant (for example, artificial knee joint) scheduled to be used ordered by the hospital H from among the manufacturers M,... There is no need to specify the trader M. In other words, some implant manufacturers M specialize in handling only specific types of implants, but if the contact information differs depending on the type of implants that are planned to be used in hospital H, the work efficiency will be reduced. Will be invited. However, in the implant order manufacturing system 100 of the present embodiment, since the management server 4 can manage the order manufacturing of a plurality of types of implants by a plurality of manufacturers M,. It is possible to unify the window until the end of the actual operation, and to improve the work efficiency in the hospital H.

In addition, after receiving the implant completion information transmitted from the implant manufacturer terminal 2, the management server 4 receives the implant delivery completion information transmitted from the collection / delivery company terminal 3, and then requests the cost of the implant. Generate information. More specifically, after receiving the implant completion information transmitted from the manufacturer terminal 2, the management server 4 receives the implant used information transmitted from the hospital terminal 1, and then receives the price of the implant. Generate billing information. Accordingly, it is possible to charge for the cost of the implant manufactured by the manufacturer M at an appropriate timing, and it is possible to improve the business efficiency related to the management of the order manufacturing of the implant.
The management server 4 is configured to include a deposit management means for managing the payment from the hospital H to a predetermined bank account for the price of the implant manufactured by the manufacturer M and the price related to the collection and delivery service by the collection and delivery service provider S. As a result, it is possible to further improve the work efficiency related to the management of the order manufacturing of the implant.

  In the above-described embodiment, the manufacturer M manufactures one implant to be used after ordering from the hospital H. However, the manufacturer M has a plurality of implants in advance before ordering from the hospital H. For each type of implant (for example, an artificial knee joint or an artificial vertebral body), a plurality of implants having different external shapes and dimensions are manufactured, and the desired external shape and dimensions after ordering from hospital H Implants may be shipped immediately.

Hereinafter, an implant order shipment system exemplified as a preferred embodiment to which the present invention is applied will be described.
The implant order shipment system is substantially the same as the implant order manufacturing system of the above embodiment except for the points described below, and a detailed description thereof is omitted.

The implant manufacturing apparatus 20 of the manufacturer M includes, for each of a plurality of types of implants (for example, an artificial knee joint and an artificial vertebral body), a plurality of implant shape data d related to the three-dimensional shape of the plurality of implants (see FIG. 4). Based on data substantially equivalent to), a plurality of implants in which at least one of the outer shape and the dimension is different on the basis of the physical characteristics of the person such as race, age, and gender in advance. In addition, the manufacturing method of an implant is substantially the same as the said embodiment, The detailed description is abbreviate | omitted.
The manufacturer terminal 2 of the manufacturer M receives the order information of the implant transmitted from the communication control unit 44 of the management server 4 via the external network N1 by the communication control unit 24. Then, the manufacturer M prepares for shipment to the hospital H of the implant having the shape and size according to the order information.
Then, the implant having the shape and size according to the order information is collected and delivered from the manufacturer M to the hospital H by the delivery service provider S.
Here, the manufacturer M functions as an implant distributor.

Next, the implant order shipment process will be described with reference to FIG.
FIG. 10 is a flowchart showing an example of an operation related to an implant order shipment process by the implant order shipment system.
The implant order shipping process is substantially the same as the implant order manufacturing process of the above embodiment except for the points described below, and a detailed description thereof will be omitted.

  As shown in FIG. 10, in substantially the same way as the implant order manufacturing process of the above embodiment, first, in the surgery support apparatus 10 installed in the first hospital H1, the CPU of the central control unit 101 performs the surgery procedure. In the previous plan, an implant identification process is performed (step S1). Subsequently, in substantially the same manner as the implant order manufacturing process of the above-described embodiment, the communication control unit 104 transmits the implant specifying information specified in the implant specifying process to the hospital terminal 1 via the in-hospital network N2 (step S2). ).

In the hospital terminal 1, when the implant control information is received from the surgery support apparatus 10 via the in-hospital network N2 in substantially the same manner as the implant order manufacturing process of the above-described embodiment, the communication control unit 14 receives the implant identification information (step). S3) The CPU of the central control unit 11 performs order information generation processing for generating implant order information (step S4).
Thereafter, in substantially the same manner as the implant order manufacturing process of the above embodiment, the communication control unit 14 transmits the order information of the implant generated in the order information generation process to the management server 4 via the external network N1 (step). S5).

In the management server 4, when the order information of the implant transmitted from the hospital terminal 1 is received by the communication control unit 44 in substantially the same manner as the implant order manufacturing process of the above embodiment (step S6), the central control unit The CPU 41 performs a manufacturer specifying process for specifying a manufacturer M (for example, a first manufacturer M1) of a predetermined type of implant (for example, an artificial knee joint) according to the order information of the implant (step S7). .
Subsequently, the communication control unit 44 transmits the external network N1 to the manufacturer terminal 2 used by the first manufacturer M1 specified by the manufacturer specifying process, with respect to the implant order information transmitted from the hospital terminal 1. (Step S51).

In the manufacturer terminal 2 used by the first manufacturer M1, the communication control unit 24 receives the implant order information transmitted from the management server 4 via the external network N1 (step S52).
As a result, the first manufacturer M1 has the shape and size of the implant according to the order information of the implant among the plurality of implants that are manufactured in advance by using the implant manufacturing device 20 with at least one of the outer shape and the size being different. And the preparation for shipment of the implant to the hospital H is performed.

Thereafter, in the management server 4, the CPU of the central control unit 41 generates collection / delivery instruction information for instructing the collection / delivery of the implants by the collection / delivery service company S in substantially the same manner as the implant order manufacturing process of the above embodiment. Generation processing is performed (step S13).
Note that the collection / delivery instruction generation processing may be performed immediately after receiving the implant order information in step S6 when it is not necessary to specify the manufacturer M in the manufacturer identification processing (step S7).
Thereafter, in substantially the same manner as the implant order manufacturing process of the above embodiment, the communication control unit 44 transmits the implant collection / delivery instruction information generated by the collection / delivery instruction information generation process to the collection / delivery trader terminal 3 via the external network N1. (Step S14).

In the collection / delivery trader terminal 3, when the implant control instruction information transmitted from the management server 4 via the external network N1 is received by the communication control unit 34, as in the implant order manufacturing process of the above embodiment. (Step S15), the slip creation unit 38, under the control of the central control unit 31, based on the received implant collection / delivery instruction information, the name and address of the first hospital from which the implant is ordered, and the implant Various information such as the name and address of the first manufacturer that sells the product, the name and number of implants that are collected and delivered are printed on the base paper of the slip, and a slip that is used by the collector to collect and deliver the implant is created ( Step S16).
Thereafter, using the created slip, the collection controller delivers the implant according to the implant collection / delivery instruction information from the first manufacturer M1 and delivers it to the first hospital H1, and then the communication control unit 34 performs the above-described implementation. In a similar manner to the implant order manufacturing process of the form, when receiving the delivery completion information transmitted from the collector terminal 30 used by the collector, based on a predetermined operation of the operation input unit 37 of the collector terminal 3 by the user, Implant delivery completion information is transmitted to the management server 4 via the external network N1 (step S17).

  Thereafter, in the management server 4, the communication control unit 44 receives the implant delivery completion information transmitted from the collection / delivery company terminal 3 via the external network N1, in substantially the same manner as the implant order manufacturing process of the above embodiment. (Step S18).

Thereafter, in the first hospital H1, by using the surgical operation support device 10, that is, the CPU of the central control unit 101 executes the intraoperative support program 103b, the actual mounting position and mounting angle of the implant, etc. Orthopedic surgery for attaching and fixing the implant to the affected area of the patient in the state where the osteotomy amount and the osteotomy position of the affected area are instructed by controlling the display control unit 106 and displaying on the display unit 105 as necessary. Is done.
In the hospital terminal 1, the communication control unit 14 is substantially the same as the implant order manufacturing process of the above-described embodiment, and the communication control unit 14 stores the implant information generated based on the execution of the used information generation program 13b by the CPU of the central control unit 11. The used information is transmitted to the management server 4 via the external network N1 (step S19).

In the management server 4, when the used information of the implant transmitted from the hospital terminal 1 is received by the communication control unit 44 in substantially the same manner as the implant order manufacturing process of the above embodiment (step S20), the central control The CPU of the unit 41 reads out the billing information generation program 43d from the program memory 43, executes the program, and performs billing information generation processing for generating billing information for the price of the implant manufactured by the first manufacturer M1 (Step S41). S21).
The billing information generation process may be performed before receiving the used information of the implant in step S20.
Thereafter, in substantially the same manner as the implant order manufacturing process of the above-described embodiment, the communication control unit 44 transmits the billing information for the cost of the implant generated in the billing information generation process to the hospital terminal 1 via the external network N1 ( Step S22).

  In the hospital terminal 1, the communication control unit 14 receives the billing information transmitted from the management server 4 via the external network N1 in substantially the same manner as the implant order manufacturing process of the above embodiment (step S23). Then, the implant order shipment process is terminated.

Therefore, among a plurality of implants having different shapes and dimensions that are manufactured in advance by the manufacturer M, one implant having a shape and size according to the order information of the implant to be attached to the patient is sent from the distributor to the hospital. Can be delivered to.
As a result, it is not necessary to perform the inspection work necessary for shipping the implants of the dimensions before and after the implants of the dimensions to be used as in the prior art. Costs that were incurred in the intermediate stages of delivery can also be greatly reduced.
Further, the number of shipments from the manufacturer M to the hospital H can be greatly reduced, and the hospital H side can store the implants by reducing the number of implants that must be stored until they are used in surgery. Not only can the space be reduced, but also the number of sterilization points of the implant can be reduced to reduce the human costs involved in the sterilization operation.
In this way, only one implant scheduled to be used in orthopedic surgery can be shipped, the implant can be sold efficiently, and implant storage and sterilization work on the hospital H side can be made more efficient. Can be planned.

Next, with reference to FIGS. 11 to 14, a conventional shipping state of the implant will be described.
11 and 12 are diagrams for explaining a conventional shipping state of an artificial hip joint system as an example of an implant. FIGS. 13 and 14 are views for explaining a conventional shipping state of an artificial knee joint system as an example of an implant.

<Artificial hip joint system>
First, referring to FIG. 11 and FIG. 12, regarding the shipping state of the artificial hip joint system when a preoperative plan of surgery is performed using a two-dimensional image (for example, an X-ray image) of a patient's implant attachment site. explain.
In FIG. 11 and FIG. 12, “A” to “J” in the uppermost column correspond to one operation performed in any one hospital. The numerical values in the column represent the number of parts. The column with dots in the background is the type (size) of parts assumed in the preoperative plan, and the type of parts actually used in surgery is the one with the larger number of dots. Represents.

As shown in FIGS. 11 and 12, the artificial hip joint system includes a plurality of types (for example, eight) parts, specifically, “bipolar insert”, “bipolar assembly”, “bipolar head”. ", Non-porous with femoral stem collar", "distal centralizer", "porous with femoral stem collar", "porous without femoral stem collar", "femoral head / CoCr", etc.
These plural types of parts have a plurality of parts with different shapes and sizes, and are defined in association with product numbers (catalog numbers). Specifically, the artificial hip joint system is manufactured by Consensus Orthopedics, Inc. (USA) “Brand name: Consensus hip joint system” (approval number: 20900BZY00951000) Approval number: 20900BZY00992000).

Specifically, for example, there are three types of “bipolar inserts” with different compatible head sizes.
The “bipolar assemblies” specifically include, for example, 33 types in which at least one of an outer diameter, a head diameter, and a neck length is different.
In addition, specifically, there are eight types of “bipolar heads” with different outer diameters, for example.
Further, specifically, “non-porous with femoral stem collar” includes, for example, nine types in which at least one of a stem diameter, a stem length, a neck length, and an offset length is different.
In addition, specifically, there are six types of “distal centralizers” with different standards, for example.
Further, specifically, there are nine types of “femoral stem / collar porous” in which at least one of a stem diameter, a stem length, a neck length, and an offset length is different.
The “femoral stem / collarless porous” specifically includes eight types in which at least one of a stem diameter, a stem length, a neck length, and an offset length is different.
Further, “femoral head / CoCr” specifically includes, for example, three types in which at least one of an outer diameter and a neck size is different.
These are examples of parts constituting the artificial hip joint system, and are not limited to these. However, there are 79 kinds of parts when only the above-described parts are added up.

For example, in the case of surgery “A”, 3 types of “bipolar inserts”, 33 types of “bipolar assemblies”, 8 types of “bipolar heads”, 9 types of “non-porous with femoral stem collar”, Six types of “Distal Centralizer”, “Femoral Stem / Collarless Porous”, and “Femoral Head / CoCr”, three types of 70 parts in total, are shipped to the hospital.
Of these, the “bipolar assembly” is limited to nine types of parts (size) in the pre-operative plan, but the pre-operative plan uses a two-dimensional image, so the accuracy is poor and the actual It is necessary to ship all 33 types of parts.
Similarly, “femoral stem / collarless porous” is limited to three types of parts (size) in the preoperative plan, but it is actually necessary to ship all eight types of parts. ing.

  Although detailed explanations of the other operations “B” to “J” are omitted, similarly, the type (size) of parts is limited to a predetermined number in the preoperative plan. Since the plan uses a two-dimensional image, the accuracy is low, and it is necessary to ship more parts than the parts actually used.

  As a result, the sales efficiency of the artificial hip joint system (implant) is reduced for the manufacturer (distributor), and the efficiency related to storage and sterilization of the implant is reduced for the hospital.

<Artificial knee joint system>
Next, referring to FIG. 13 and FIG. 14, the artificial knee joint system is shipped when preoperative planning of the operation is performed using a two-dimensional image (for example, an X-ray image) of the attachment site of the patient. The state will be described.
In FIG. 13 and FIG. 14, “K” to “U” in the uppermost column correspond to one operation performed in any one hospital. The numerical values in the column represent the number of parts. The column with dots in the background is the type (size) of parts assumed in the preoperative plan, and the type of parts actually used in surgery is the one with the larger number of dots. Represents.

As shown in FIGS. 13 and 14, the knee prosthesis system includes a plurality of types (for example, 11) of parts, specifically, “P / S femoral component nonporous”, “PS” / Tibial insert, Cancellus bone screw, Patera component all poly / 10mm, Patera component all poly / 7.5mm, Femoral component non-porous, Femoral component porous, Tibial insert , “Non-porous with tibial base plate / stem”, “tibial base plate CoCr (non-porous with stem)”, “porous with tibial base plate / stem”, and the like.
These plural types of parts have a plurality of parts with different shapes and sizes, and are defined in association with product numbers (catalog numbers). Specifically, the knee prosthesis system corresponds to “sales name: consensus knee prosthesis system” (approval number: 20900BZY00148000) manufactured by Consensus Orthopedics, Inc. (USA).

Specifically, there are eight types of “P / S femoral component non-porous” in which at least one of right and left, AP, ML, and BOX is different.
In addition, specifically, there are 16 types of “PS / tibial inserts” in which at least one of right and left, thickness, and size is different.
Moreover, specifically, there are eight types of “cancellous bone screws” with different sizes, for example.
In addition, “Patera component all poly / 10 mm” specifically includes, for example, two types having different sizes.
In addition, specifically, there are two types of “patella component all poly / 7.5 mm” with different sizes.
In addition, specifically, there are eight types of “femoral component non-porous” in which at least one of left and right, AP, ML, and BOX is different.
Moreover, specifically, there are 12 types of “femoral component porous” in which at least one of left and right, AP, ML, and BOX is different.
Moreover, specifically, there are 24 types of “tibial inserts” in which at least one of right and left, thickness, and size is different.
Further, specifically, “non-porous with tibial base plate / stem” includes, for example, eight types in which at least one of left and right, AP, and ML is different.
In addition, specifically, “tibial base plate CoCr (non-porous with stem)” includes, for example, eight types in which at least one of left and right, AP, and ML is different.
In addition, specifically, there are 12 types of “porous with tibial baseplate / stem” in which at least one of left and right, AP, and ML is different.
These are examples of parts constituting the knee prosthesis system, and are not limited to these. However, the total number of parts alone is 108.

For example, in the case of surgery “M”, 8 types (16) of “Cancer bone bone screws”, 2 types of “Patella component all poly / 10 mm”, 2 types of “Patella component all poly / 7.5 mm”, A total of 44 parts, 6 types of “Femoral component porous”, 12 types of “Tibial insert”, and 6 types of “Tibial baseplate / stem porous”, are shipped to the hospital.
Of these, the “cancellous bone screw” is limited to three types (6) of parts (size) in the preoperative plan, but the preoperative plan uses two-dimensional images, so the accuracy is high. In reality, it is necessary to ship all eight types (16 pieces) of parts.
Similarly, regarding the “femoral component porous”, although there are three types of parts (size) in the preoperative plan, it is actually necessary to ship six types of parts.
Similarly, regarding the “tibial insert”, although there are six types of parts (size) in the preoperative plan, it is actually necessary to ship 12 types of parts.
Similarly, for “Tibial Baseplate / Stem Porous”, although there are only three types of parts (size) in the preoperative plan, it is actually necessary to ship six types of parts. ing.
Furthermore, in the case of “Patella Component All Poly / 10mm”, although the use of “Patella Component All Poly / 7.5mm” is assumed in the preoperative plan, the parts are being shipped. .

  Detailed descriptions of the other operations “K”, “L”, “N” to “U” are omitted, but similarly, the types (sizes) of parts in the preoperative plan are limited to a predetermined number. However, since the preoperative plan uses a two-dimensional image, the accuracy is low, and it is necessary to ship more parts than the parts actually used.

  As a result, for the manufacturer (distributor) side, the sales efficiency of the artificial knee joint system (implant) is reduced, and for the hospital side, the efficiency relating to storage and sterilization of the implant is reduced.

  Next, with reference to FIGS. 15 to 18, the present invention is applied, and an implant to be attached to a predetermined site of a patient is identified by analysis (simulation) using the implant shape data d in the preoperative plan. The shipping state in this case will be described.

<Artificial knee joint system>
First, the shipping state of the artificial knee joint system will be described with reference to FIGS. 15 and 16.
FIG.15 and FIG.16 is a figure for demonstrating the shipment state of the artificial knee joint system as an example of the implant which concerns on this invention.
15 and 16, the left column indicates the type (size) of the part assumed in the preoperative plan with a dot in the background, and is the same as in FIGS. 13 and 14 described above. The shipment state (normal shipment) of the number of parts when shipped in a conventional manner is shown. In the right column, the shipping status (limited shipment) when the type (size) of the parts to be shipped is limited in consideration of the accuracy of the type (size) of parts assumed in the preoperative plan. In addition, the type (size) of the part actually used is shown with a dot on the background.
Further, the components constituting the artificial knee joint system are the same as those shown in FIGS. 13 and 14 described above, and the detailed description thereof is omitted.

As shown in FIG. 15 and FIG. 16, “patella component all-poly / 10 mm”, “femoral component nonporous”, and “nonporous with tibial baseplate / stem” are the types of parts assumed in the preoperative plan ( There is no difference between the size) and the type of the part actually used, and the “tibial insert” is within the range of the part type (size) assumed in the preoperative plan.
In other words, the accuracy of the shape and dimensions of the implant specified by the analysis using the three-dimensional implant shape data d according to the present invention, that is, the accuracy of the simulation by the computer is high. It is believed that the difference between the type (size) and the type of part actually used is small. As a result, the dealer can ship the product by limiting the type (size) of the part (decreasing the number of parts shipped), and can sell the implant efficiently. The efficiency of storage and sterilization can be improved.

<Spine system>
Next, with reference to FIGS. 17 and 18, the shipping state of the spinal system will be described.
FIG. 17 is a view for explaining a shipping state of a spinal system as an example of an implant according to the present invention. FIG. 18 is a diagram for explaining the correspondence between the preoperative plan of the spinal system and the use result.
In FIG. 17, “V” in the uppermost column represents a shipping state (normal shipment) when the number of parts to be shipped is not limited, and “W” to “Y” are performed at any one hospital. This represents the shipping state (limited shipping) when the type (size) of the parts to be shipped is limited in response to a single operation. The numerical values in the column represent the number of parts. In addition, a column represented by a dot in the background represents the type (size) of the part assumed in the preoperative plan.
In FIG. 18, “T” represents the thoracic vertebra, “L” represents the lumbar vertebra, and a numerical value continuously written after “T” or “L” (for example, “9” in “T9”). Represents the number of each vertebra.

As shown in FIG. 17, the spinal system is configured to include a plurality of types (for example, two) of parts, and specifically includes “Ti closed screw”, “top loading monoaxial screw”, and the like. .
These plural types of parts have a plurality of parts with different shapes and sizes, and are defined in association with product numbers (catalog numbers). Specifically, the spine system is manufactured by Robert Reed Shokai Co., Ltd. “Sales name: KAPSS Spinal System” (approval number: 21200BZZ00724000), “Sales name: KAPSS top-loading monoaxial screw” (approval number) : 22300BZX00011000).

Specifically, for example, there are 12 types of “Ti closed screws” in which at least one of the head diameter and the neck length is different.
Further, specifically, there are 18 types of “top loading monoaxial screws” in which at least one of the head diameter and the neck length is different. The “top loading monoaxial screw” corresponds to a preliminary part of the “Ti closed screw”.
These are examples of components constituting the spinal system, and are not limited to these, but the total number of components described above is 30 (192).

For example, in the case of surgery “W”, 5 types of “Ti closed screw” (36 pieces) and 8 types (54 pieces) of “top loading mono-axial screw” are sent to the hospital. Ships. That is, the number of parts to be shipped is less than 1/2 compared to the number of parts for normal shipment: “V”.
In addition, although detailed explanations of other operations “X” and “Y” are omitted, similarly, the number of parts to be shipped is about ½ compared with the number of parts for normal shipment: “V”. It has become.

In other words, the accuracy of the shape and dimensions of the implant specified by the analysis using the three-dimensional implant shape data d according to the present invention, that is, the accuracy of the simulation by the computer is high. It is believed that the difference between the type (size) and the type of part actually used is small. For example, as shown in FIG. 18, in the operation “W”, only the left thoracic vertebra “T10” (column indicated by a dot in the background) has a difference between the preoperative plan and the use result. There is no difference between the operations “X” and “Y”.
As a result, as shown in FIG. 17, even if a distributor limits the type (size) of parts (decreases the number of parts shipped) and is shipped, the possibility of hindering surgery is very low. Conceivable. In addition, it is thought that the accuracy will be further improved by the improvement and development of the preoperative plan analysis device in the future.
Therefore, the distributor can efficiently sell the implant and can improve the efficiency of storing and sterilizing the implant on the hospital side.

The present invention is not limited to the above-described embodiment, and various improvements and design changes may be made without departing from the spirit of the present invention.
For example, in the above embodiment, the implant manufacturer M and the management company C are separated. However, one manufacturer M may perform management work of the system 100. That is, a predetermined management program for realizing a predetermined function related to the management server 4 is stored in the program memory 23 of the manufacturer terminal 2, and the CPU of the central control unit 21 reads the management program. By executing these functions, a predetermined function as the management server 4 may be realized.

  In addition, a plurality of manufacturers M,... Are configured to manufacture a plurality of different types of implants (for example, artificial knee joints and artificial vertebral bodies) for each type. In such a case, the management server 4 may, for example, select a time distance or a physical distance from the plurality of manufacturers M,... Any one manufacturer M may be specified in consideration of the order status.

  Furthermore, the configurations of the hospital terminal 1, the management server 4, the manufacturer terminal 2, the collection / delivery company terminal 3 and the like are merely examples, and are not limited thereto. For example, although the hospital terminal 1 and the surgery support device 10 are illustrated as being configured as separate devices, these devices may be configured as a single unit. In addition, although the hospital terminal 1 and the surgery support apparatus 10 are illustrated as being connected so as to be capable of information communication via the in-hospital network N2, these apparatuses are not necessarily connected so as to be capable of information communication.

  In addition, it should be thought that embodiment disclosed this time is an illustration and restrictive at no points. The scope of the present invention is defined by the terms of the claims, rather than the description above, and is intended to include any modifications within the scope and meaning equivalent to the terms of the claims.

100 Implant order production system (implant order shipment system)
DESCRIPTION OF SYMBOLS 1 Hospital terminal 10 Surgery support apparatus 11 Central control part 14 Communication control part 2 Manufacturer terminal 20 Implant manufacturing apparatus 21 Central control part 24 Communication control part 3 Pick-up / delivery trader terminal 31 Central control part 34 Communication control part 4 Management server 41 Central control part 44 Communication control unit N1 External network

Claims (4)

A hospital terminal installed in at least one hospital; a manufacturer terminal used by a manufacturer of a predetermined type of implant; an implant manufacturing device used by the manufacturer and associated with the manufacturer terminal; An implant order manufacturing system comprising a management terminal connected to a hospital terminal and the manufacturer terminal via an external network and managing the order manufacturing of implants used in the hospital,
The hospital terminal
A plurality of implant shapes related to a three-dimensional shape of a plurality of implants having at least one of shapes and dimensions that are designed based on a physical feature of a person including at least one of race, age, and gender in advance Based on the data and the bone shape data relating to the three-dimensional shape of a predetermined part to which the bone implant of the patient is attached, the surgical support device connected to the hospital terminal via the internal network, from among the plurality of implants Order information transmitting means for transmitting order information of an implant scheduled to be attached to the specified site of the identified patient to the management server via the external network;
The management server
Order information receiving means for receiving the order information transmitted from the order information transmitting means;
Based on the reception of the order information by the order information receiving means, manufacturing instruction generating means for generating manufacturing instruction information of an implant scheduled to be attached to the predetermined part of the patient;
Manufacturing instruction transmitting means for transmitting the manufacturing instruction information generated by the manufacturing instruction generating means to the manufacturer terminal via the external network, and
The manufacturer terminal is
Manufacturing instruction receiving means for receiving the manufacturing instruction information transmitted from the manufacturing instruction transmitting means;
According to the manufacturing instruction information received by the manufacturing instruction receiving means, the data stored in the storage means is used by the implant manufacturing apparatus comprising storage means for storing data substantially equivalent to the implant shape data. Completion information transmitting means for transmitting the manufacturing completion information of the implant to the management server via the external network after the implant having the shape and size according to the manufacturing instruction information is manufactured,
The management server further includes:
Completion information receiving means for receiving the manufacturing completion information transmitted from the completion information transmitting means;
A billing information generating means for generating billing information of the price of the implant manufactured by the implant manufacturing device after the manufacturing completion information is received by the completion information receiving means;
An implant order manufacturing system, further comprising: billing information transmitting means for transmitting the billing information generated by the billing information generating means to the hospital terminal via the external network. The manufacturer terminal is
A plurality of different types of implants are provided according to each of a plurality of manufacturers that manufacture different types of implants for each type,
The order information transmitting means of the hospital terminal transmits the order information to the management server for a predetermined type of implant to be attached to the predetermined site of the patient among the plurality of types of implants,
The management server
For each of the plurality of types of implants, manufacturer information storage means for storing manufacturer information for specifying the manufacturer of the implant for each type;
Based on the manufacturer information stored in the manufacturer information storage means, a manufacturer of a predetermined type of implant related to the order information received by the order information receiving means from the plurality of manufacturers is selected. A manufacturer specifying means for specifying,
The manufacturing instruction transmitting means includes
The manufacturing instruction information generated by the manufacturing instruction generating unit is transmitted to the manufacturer terminal used by the manufacturer specified by the manufacturer specifying unit among the plurality of manufacturer terminals. The implant order manufacturing system according to claim 1, wherein the system is an order receiving manufacturing system. The management server
The implant manufactured by the implant manufacturing apparatus is connected to a collection / delivery terminal used by a collection / delivery company that collects the implant from the manufacturer and delivers it to the hospital via the external network,
A collection / delivery instruction generating means for generating collection / delivery instruction information for instructing the collection / delivery of the implant by the collection / delivery company based on the reception of the manufacturing completion information by the completion information receiving means;
A collection / delivery instruction transmission means for transmitting the collection / delivery instruction information generated by the collection / delivery instruction generation means to the collection / delivery company terminal;
The collection and delivery terminal is
A collection / delivery instruction receiving means for receiving the collection / delivery instruction information transmitted from the collection / delivery instruction transmitting means;
Delivery completion information transmitting means for transmitting the delivery completion information of the implant to the management server after the implant related to the collection / delivery instruction information received by the collection / delivery instruction receiving means is delivered to the hospital by the collection / delivery company; Prepared,
The management server further includes:
Further comprising delivery completion information receiving means for receiving the delivery completion information transmitted from the delivery completion information transmitting means;
The implant order manufacturing system according to claim 1 or 2, wherein the billing information generating unit generates the billing information after the delivery completion information is received by the delivery completion information receiving unit. The hospital terminal
After the implant delivered by the collection / delivery company is used in the hospital, further comprising used information transmitting means for transmitting used information of the implant to the management server,
The management server
Further comprising used information receiving means for receiving the used information transmitted from the used information transmitting means;
4. The implant order manufacturing system according to claim 3, wherein the claim information generating unit further generates the claim information after the used information is received by the used information receiving unit.

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